ALUMNI ASSOCIATION OF OSMANIA

UNIVERSITY
Office of the Registrar, Osmania University, Hyderabad-500 007
  (Regd.No.590 0f 2003)
To,
Phone No. +91-40-27682287 Fax No. +91-40-27090020
The Special Officer,
Alumni Association of Osmania University,
MEMBERSHIP FORM
Hyderabad-500 007. Please Affix
Please enroll me as a Member* of the Alumni Association Passport
of Osmania University, Hyderabad-500 007. size
photograph
Alumnus Information:
1. Name in Full: Prof / Dr. / Mr. /Mrs._____________________________________

2. Present Position / Designation_________________________________________

3. Address___________________________________________________________

Phone No._______________ e-Mail__________________________

4. Name of the College from where

he/she study : _________________________________________

5. Courses studied : ______________________________________

Year(s) of study : From _________to__________

6. Payament for the membership is made as under:

Cheque / DD No. ____________Dated ___________drawn in favor of Alumni

Association of Osmania University, Hyderabad on (Bank) ________________
For Rs. _____________ is enclosed herewith.

Place: Signature
Date

Life Member Patron Donor Corporate Endowment

Member Member
Rs.500/- Rs.5000/- Rs.10,000/- Rs.1.0 Lakh Rs.5.0 Lakhs

Any one interested in the activities of Alumni Association and Osmania University is
eligible for becoming a Patron / Donor.
*An individual is eligible to become Life Member of Alumni Association of Osmania
University if he/she has been a student at any of the Colleges of Osmania University
including the affiliated Colleges / Institutions and the Center for Distance Education for at
least one year course of study or obtained a Degree / Diploma through a private study /
External appearance.
Payment may me made through a Crossed Cheque / Demand Draft drawn in favour of
Alumni Association, Osmania University, Hyderabad.